Journal
JOURNAL OF CLINICAL MICROBIOLOGY
Volume 51, Issue 11, Pages 3830-3834Publisher
AMER SOC MICROBIOLOGY
DOI: 10.1128/JCM.01467-13
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Funding
- Fund for Key National Basic Research Program of China [2012CB619101]
- Major Basic Research of Science and Technology Commission of Shanghai Municipality [11DJ1400303]
- Key Disciplines of Shanghai Municipal Education Commission [J50206]
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This meta-analysis evaluated preoperative aspiration culture for diagnosing prosthetic joint infection (PJI) in total hip arthroplasty (THA) and total knee arthroplasty (TKA). The pooled sensitivity and specificity were 0.72 (95% confidence interval, 0.65 to 0.78) and 0.95 (0.93 to 0.97), respectively. Subgroup analyses revealed nonsignificant worse diagnostic performance for THA than for TKA (sensitivity, 0.70 versus 0.78; specificity, 0.94 versus 0.96). Preoperative aspiration culture has moderate to high sensitivity and very high specificity for diagnosing PJI.
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